| NPI | 1578511010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CLARKE Director 732-765-6317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2017-10-04 |