| NPI | 1508960808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER PETER RUSSONIELLO Owner 908-668-4410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2008-10-24 |