| NPI | 1104872290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA TEEPLE Billing/Credentialing Manager 732-512-7990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2022-07-21 |