| NPI | 1275958308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YONG SHI Physician 732-775-6664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA06999900) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NJ 25MA06999900) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2014-02-26 |