| NPI | 1639045537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAYAL PATEL Manager 848-228-9359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma | |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2025-10-16 |