| NPI | 1942525290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS VAIMAKIS Executive Director 201-227-8326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-11-04 |