| NPI | 1164729448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE E KIM Manager 732-549-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NJ 25MA03216200) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA05523200) |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2017-10-11 |