NPI | 1225387905 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT S CHAE Provider 732-632-9777 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA05655900) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA05655900) |
Enumeration Date | 2012-09-10 |
Last Update Date | 2013-07-20 |