| NPI | 1750696134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA JENCO Credentialing Manager 973-656-2840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2025-10-10 |