101YA0400X
South Amboy, NJ
Specialty
101YA0400X
Credential
LSW, LCADC
NPI
1932967163
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 101ya0400x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 101YA0400X