| NPI | 1215029541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MACALUSO Practice Manager 732-222-3243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ MA066004) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2016-12-01 |