| NPI | 1295332831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN STEPHENSON Owner 732-545-2657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |