| NPI | 1700974995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID H HENICK Owner 201-592-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NJ 25MA06039500) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |