| NPI | 1134760754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SCHWARTZ President 732-567-4236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2020-01-02 |