| NPI | 1801087572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR M POVZHITKOV President 201-218-6439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NJ 23278) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-08 |