| NPI | 1346400033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED D. GANGEMI Medical Director 732-747-1035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 25MA04340200) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |