| NPI | 1962691527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE WEBER Business Office Manager 732-979-2115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| 2085N0904X | |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2016-01-21 |