| NPI | 1952710717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGED L GHATTAS Owner 732-333-8178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ 25MA08212000) |
| Additional Taxonomies | 207LH0002X Anesthesiology, Hospice and Palliative Medicine (Licence: NJ 25MA08212000) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2014-08-06 |