| NPI | 1558450312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY CHEMO Credentialing Administrator 732-387-2747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NY 119772) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2023-10-03 |