| NPI | 1649217514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY J. MAZZERELLI Chief Medical Office 856-968-7858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery |
| 207NS0135X Dermatology, Procedural Dermatology | |
| 207T00000X Neurological Surgery | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 208200000X Plastic Surgery | |
| 208600000X Surgery | |
| 208C00000X Colon & Rectal Surgery | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2024-09-10 |