| NPI | 1639796154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIANNA M SCAGLIONE Physician Assistant, Owner 973-703-9580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-06-30 |