| NPI | 1235639394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MANKARIOS Administrator 732-863-5515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07048000) |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-02-15 |