| NPI | 1811315195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY OWUSU Physician 856-524-0823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX p6882) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2017-11-01 |