| NPI | 1154732907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN SOKALSKY Owner 609-904-2565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: NJ 25MB08601300) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2017-03-03 |