| NPI | 1548791593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ELIZABETH CLEWELL Executive Director 908-237-4146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |