| NPI | 1184197220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARSHAD UDDIN SIDDIQUI Medical Director 732-864-5887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-01-10 |