| NPI | 1548766165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE JACOBSON Owner 201-793-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NJ 22697) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2025-03-19 |