NPI | 1881496123 |
---|---|
Doing Business As | SOLARA SURGERY |
Entity Type | Organization |
Authorized Contact | EDWARD J LICITRA CEO/Chairman 732-390-7750 |
Organization Subpart ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology |
Enumeration Date | 2025-03-26 |
Last Update Date | 2025-03-26 |