| NPI | 1942841143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RAGHUNANDAN Director Of Operations 201-367-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-09-30 |