| NPI | 1033321880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANTE MARTINEZ Doctor 732-281-3590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NJ MA27512) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |