| NPI | 1871345868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE DOMINGO Owner/President/Managing Member 201-956-9364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-04-08 |