| NPI | 1053634956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD HOWARD KLINE Owner 732-329-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NJ 25MB04326600) |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2011-05-31 |