| NPI | 1548578958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE CAROL GARNER Lpn 609-896-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NJ 25MA03170300) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2011-08-08 |