| NPI | 1760857148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON LUTCHMAN Owner 732-361-4961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NJ 25MA04510100) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |