| NPI | 1144393794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE PENZYNSKI Credentialing Manager 732-212-0061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2008-01-11 |