| NPI | 1447470125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK LEONARD ROESSLER Managing Member 732-677-3780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NJ 25MB07718700) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2011-01-05 |