| NPI | 1639507684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL VICTOR EHRLICH President 888-721-6238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NJ 25MA09089400) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |