| NPI | 1073642401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY PABLO TALAMAYAN President 732-942-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: NJ MA070826) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2010-02-18 |