| NPI | 1659326569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LEE GROSS President/Owner 201-358-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NJ 25MA5362900) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NJ 25MA08256500) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2008-12-16 |