| NPI | 1699855973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MUSCIO Medical Director 732-886-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NJ 25MA07431300) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NJ 2022353531/000) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2008-07-22 |