| NPI | 1578519047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAQUINN CANTILLO Authorized Representative 609-396-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2012-10-25 |