| NPI | 1316211915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI CARPENTER Office Manager 908-852-8096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NJ 25MA07788100) |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2016-01-04 |