363LA2100X
West Orange, NJ
Specialty
363LA2100X
Credential
N.P.
NPI
1710987136
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 363la2100x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 363LA2100X