| NPI | 1164603254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL COUREY President/Owner 732-577-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ 18597) |
| Enumeration Date | 2007-11-17 |
| Last Update Date | 2013-01-17 |