| NPI | 1639303043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA P AMSDEN Owner 973-409-4379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NJ 26NN07925100) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2009-05-13 |