| NPI | 1912797515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA REILLY Practice Manager 973-932-2148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| 2085R0204X Radiology Vascular & Interventional Radiology | |
| Enumeration Date | 2025-05-08 |
| Last Update Date | 2025-05-08 |