| NPI | 1629475264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE YIH Office Manager 201-833-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MA03319000) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA08610300) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |