| NPI | 1194892687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JOSEPH PITERA Owner 732-244-6626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NJ MA59605) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NJ MA59605) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |