| NPI | 1801185665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PANTEA ILBEIGI Administrative Manager 973-303-2848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2024-04-24 |