| NPI | 1437449873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRID CAROLAN WRIGHT Administrator 201-453-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ MA53891) |
| Additional Taxonomies | 2086S0129X (Licence: NJ MA53891) |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2011-04-18 |