NPI | 1760087431 |
---|---|
Entity Type | Organization |
Authorized Contact | HECTOR ASTUDILLO MANTILLA Owner 201-892-8009 |
Organization Subpart ? | No |
Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2020-12-01 |
Last Update Date | 2020-12-01 |