| NPI | 1386713915 |
|---|---|
| Former Legal Business Name | SAME AS ABOVE |
| Entity Type | Organization |
| Authorized Contact | SOHAILA KHAN President 732-316-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ MA70922) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2009-04-16 |