| NPI | 1093890204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD EDWARD BRAUER Sole Proprietor 732-238-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA03619800) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |