| NPI | 1629294079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY DEGENNARO President 732-530-7799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |