104100000X
South Amboy, NJ
Specialty
104100000X
NPI
1407741549
540 Bordentown Ave, South Amboy, NJ 08879
(732) 525-2227Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 104100000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 104100000X