| NPI | 1932622966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN SALAHI Billing Administrator 908-490-0036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NJ MA059416) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NJ MA07643200) | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: NJ MA08156400) | |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2017-11-02 |