| NPI | 1811942337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REZA ALI SHAH Owner 609-586-9788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NJ 25MB06764700) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2008-08-14 |