| NPI | 1154014371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOREEN COLORIO Billing Manager 732-673-3057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2023-06-01 |