| NPI | 1568765931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARVEY E SMIRES Owner / Operator 609-750-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ 25MA05135200) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2022-05-02 |