| NPI | 1588009161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN LAGER Owner 973-928-1325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA08001500) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: NJ 25MA08001500) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-08 |