| NPI | 1790165462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONNIE DANIELS Chief Operating Officer 973-718-3360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |