| NPI | 1215124524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY DREVELUS HOM Office Manager 732-525-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ MA59602) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |