| NPI | 1639060387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RADVINSKY Member 201-833-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery |
| Enumeration Date | 2025-07-11 |
| Last Update Date | 2025-07-11 |