| NPI | 1689627283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER PETER RUSSONIELLO President Executive Board 908-668-4410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2009-09-03 |