| NPI | 1679182265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA LOUGHLIN Administrator 201-592-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2025-10-28 |