| NPI | 1669612990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GARTNER Owner 201-546-1890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: NJ 25MB06848500) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2009-04-01 |