| NPI | 1003065392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY FRANCIS SANTORO President 732-494-1353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: NJ 25MA02147800) |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care (Licence: NJ 25MA021478) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-09-11 |