NPI | 1104341023 |
---|---|
Entity Type | Organization |
Authorized Contact | JANICE PAGUILIGAN Credentialing Coordinator 908-249-9512 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
Enumeration Date | 2017-08-11 |
Last Update Date | 2017-08-11 |