| NPI | 1225716863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD VILLANUEVA Owner 732-908-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2023-07-05 |