| NPI | 1003977489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN DEBARD Administrator 732-577-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| 207L00000X Anesthesiology | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2012-03-29 |