| NPI | 1811560469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY J GUTHRIE Owner 201-962-6533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2021-08-05 |