| NPI | 1669593521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN D MCGOWAN Office Manager 973-316-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2008-05-20 |