| NPI | 1710794904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD MORAL Chief Executive Operator 973-200-3964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2024-12-12 |