| NPI | 1669647814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER ABKIN Owner 973-410-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA06365800) |
| 208600000X Surgery (Licence: NJ 25MB08725300) | |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2013-07-19 |