NPI | 1629079058 |
---|---|
Entity Type | Organization |
Authorized Contact | AMELIA KORAB VP Community Affairs 732-745-8600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: NJ 22695) |
Enumeration Date | 2005-08-09 |
Last Update Date | 2020-08-22 |