| NPI | 1811273485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH FRIED Owner 201-568-8666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NJ 25MA04393100) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2012-04-19 |