| NPI | 1023064441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA KENNEY Mmcfpp Manager 732-923-6281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RA0000X Internal Medicine Adolescent Medicine |
| 207RG0300X Internal Medicine Geriatric Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine | |
| 207X00000X Orthopaedic Surgery | |
| 2085R0202X Radiology Diagnostic Radiology | |
| 208600000X Surgery | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2012-03-09 |