| NPI | 1871034488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN KONDAS Officer 973-251-1132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2020-06-12 |