| NPI | 1801194659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCE LAVAUGHN MOSS Physician/Sole Member 732-886-2252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ 25M080027700) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |