| NPI | 1700915592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS AVELLA Owner 201-445-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NJ MA39087) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-11-06 |