| NPI | 1801987805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMIAPPAN MUTHUSAMY Medical Director 732-679-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2011-02-24 |