| NPI | 1780673327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN BAILEY Officer/AO 203-609-1168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NJ 23286) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2024-10-11 |