| NPI | 1942231204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES CONZENTINO Managing Partner 732-918-0061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2016-07-22 |