104100000X
Verona, NJ
Specialty
104100000X
Credential
LCSW
NPI
1053724823
799 Bloomfield Ave., Verona, NJ 07044
(973) 571-1600Confirm 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