| NPI | 1447265988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER THOMPSON Owner 609-463-8107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MA04898900) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: NJ 25MA04898900) |
| 2086S0129X Surgery, Vascular Surgery (Licence: NJ 25MA04898900) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |