| NPI | 1174726566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVIER JERRY LUGO President 609-625-3145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ MA54817) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA54817) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2012-03-06 |