| NPI | 1255634705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN STEAD President 732-796-7203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: NJ 26NR13441400) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2010-12-06 |