| NPI | 1992353478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN A COLE Owner 201-608-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2024-07-16 |