| NPI | 1821323700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY B NACKMAN Owner 973-778-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NJ 25MA06483700) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2020-01-28 |