| NPI | 1578117628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVALYN ELIZABETH DECAMBRE CEO, Founder, Director Of Services 973-348-9022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology |
| Enumeration Date | 2019-07-27 |
| Last Update Date | 2020-10-19 |