| NPI | 1366047144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANG GREGORY Partner 732-266-3994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2024-02-07 |