| NPI | 1508433731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERALD P VIZZONE Owner 973-783-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2021-07-29 |