| NPI | 1386675718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRA MATCHIN Executive Director 732-238-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NJ MA 039611) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07937500) |
| 213E00000X Podiatrist (Licence: NJ 25MD00274100) | |
| 207R00000X Internal Medicine (Licence: NJ 25MB07663700) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-22 |