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 |