363LW0102X
West Orange, NJ
Specialty
363LW0102X
Credential
NP
NPI
1215104963
101 Old Short Hills Rd, West Orange, NJ 07052
(973) 322-6200Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 363lw0102x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 363LW0102X