| NPI | 1194013276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE ROSANIO Billing Mgr 732-240-4787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ ma39406) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2011-07-26 |