| NPI | 1639479553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE LANNO Credentialing Coordinator 973-754-2052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2086S0127X Surgery, Trauma Surgery | |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |