| NPI | 1285767988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE R ROWE Billing Agent 732-274-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NY 191964) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |