| NPI | 1740448711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ROSEN Managing Partner 267-684-6047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 22411501) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2018-06-21 |