| NPI | 1144548165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET L MAHAN President 732-695-6203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA04910600) |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2010-11-08 |