| NPI | 1730410697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN BAILEY Authorized Official 203-609-1168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NJ 24430) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2023-06-22 |