| NPI | 1437237997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY DEGENNARO Medical Director 732-530-1599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NJ 311041) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |