| NPI | 1588424345 |
|---|---|
| Doing Business As | NORTHWEST ENT |
| Entity Type | Organization |
| Authorized Contact | RYAN STEPHENSON Majority Owner 732-948-6159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-20 |