| NPI | 1962849935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID G HARRIS Owner 201-933-5450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NJ MC050084) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-05-30 |