| NPI | 1548666589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA WEIAND Manager 609-748-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: NJ 25MP00350200) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2014-11-18 |