| NPI | 1124197900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MILLER Billing Manager 732-220-9060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |