| NPI | 1114103868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE SHERRY BECKER Administrator 732-972-2272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 148064) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-01-11 |