| NPI | 1639561293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMENICA M BARRITTA Owner/ Director 929-400-2159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NJ 25MA07669400) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-05-06 |