| NPI | 1972520765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J PONZIO Owner/President 856-582-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ MB52501) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2020-08-22 |