| NPI | 1659084192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID POCES Owner 732-703-6353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2023-05-08 |