| NPI | 1487073417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVI K VENKATARAMAN President Medical Director 973-779-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2014-04-07 |