| NPI | 1306922992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY PARLAVECCHIO Chief Administrative Officer 908-725-5530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080S0010X Pediatrics, Sports Medicine |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2021-06-04 |