| NPI | 1891808168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L RASIZER Physician Assistant/Owner 973-902-2307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP0025700) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2016-06-27 |