| NPI | 1922389600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L. GROSS Owner 201-343-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NJ 25MA05362900) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2011-09-08 |