| NPI | 1275812182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIDHYALAKSHMY VIVEK Resident Physician 732-647-5708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: IL 125059101) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |