| NPI | 1851743074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE TALIADOUROS Manager 856-988-0072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NJ NJR24708) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |