| NPI | 1346275849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET V SPANKO Office Manager 732-767-0526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ MA 48162) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ MA 39053) |
| 208000000X Pediatrics (Licence: NJ MA 48133) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |