| NPI | 1639657588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA LAZARUS COO 568-356-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NJ 22445) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-08-02 |