| NPI | 1023039112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY C AVENDANO Owner 732-888-0411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ MA64381) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |