| NPI | 1487729687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DARRYL ANTONACCI Director 609-912-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA06999100) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD068759L) |
| 207X00000X Orthopaedic Surgery (Licence: NY 213845-1) | |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2011-01-05 |