NPI | 1043643901 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL JAMES CUNNINGHAM Owner 908-962-7569 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25ma08202700) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25ma08202700) |
Enumeration Date | 2013-08-14 |
Last Update Date | 2013-08-14 |