| NPI | 1326231663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A. LEDERMAN President 732-462-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: NJ 22DI00823500) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-08-21 |