| 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 |