| NPI | 1962409516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMAURY ROMERO Administrator 201-795-0205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NJ 80193) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2020-08-22 |