| NPI | 1114236890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE MARIE REILLY Nurse Practitioner 732-239-3113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2011-03-03 |