208200000X
Montclair, NJ
Specialty
208200000X
Credential
M.D.
NPI
1871775130
37 North Fullerton Ave., Montclair, NJ 07042
(973) 233-0433Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 208200000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 208200000X