| NPI | 1548327224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA E DUNAEV Administrator 973-405-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NJ 23116) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |