| NPI | 1942594148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE BLASCZAK Executive Director 609-709-4153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2012-05-10 |