171100000X
Barnegat, NJ
Specialty
171100000X
Credential
MS.AC., L.AC.
NPI
1558864926
175 Gunning River Rd, Barnegat, NJ 08005
(609) 698-0700Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 171100000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 171100000X