| NPI | 1598784761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE RYAN Office Manager 732-389-1331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ MA66353) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: NJ MA51693) |
| 208C00000X Colon & Rectal Surgery (Licence: NJ MB63380) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2014-07-14 |