| NPI | 1487821518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL T BANZON Partner 732-780-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |