| NPI | 1194904714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTE B PELLMAR Owner 732-431-4323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25ma03139300) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2009-02-23 |