| NPI | 1477506152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY VANACORE Administrator 732-505-9728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |