| NPI | 1194118752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BAREMBOYM President 732-340-1006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NJ 38 MC00568300) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-03-06 |