| NPI | 1134333933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARI DIPASQUALE Psychiatrist 732-339-9886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MB05322300) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |