| NPI | 1164617668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN G BLANK Owner 732-340-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA05151700) |
| Enumeration Date | 2007-09-08 |
| Last Update Date | 2007-09-08 |