| NPI | 1437512514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS P RAGUKONIS Managing Member 201-986-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |