| NPI | 1730133794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA MOHAMMED Office Administrator 201-569-7044 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2008-06-13 |