| NPI | 1891212940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN R. SALAHI Billing Manager 908-490-0036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MA03455300) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2022-07-21 |