| NPI | 1356765267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADFORD R HINKLE Physician/Owner 732-779-3923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ 25MB02895500) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2014-02-12 |