| NPI | 1518033893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBE SCHNEIDER Credentialing Specialist 732-616-6738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2022-12-13 |