| NPI | 1073804233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLA GORDINA Doctor 732-432-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NJ 61546) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MB07414700) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2011-07-07 |