| NPI | 1518300102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIT POONIA President 301-787-3797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: NJ 25MA08897700) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2013-04-12 |