| NPI | 1760723316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY CORRADO Owner, Medical Director 856-344-5906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology Facial Plastic Surgery (Licence: NJ 25MB07820800) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2017-03-07 |