NPI | 1104227990 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON SHAYNE DAZLEY Internal Medicine Physician 732-259-8446 |
Organization Subpart ? | Yes |
Primary Taxonomy | 281P00000X Chronic Disease Hospital (Licence: NJ 25MA09562500) |
Enumeration Date | 2014-09-11 |
Last Update Date | 2014-09-11 |