| NPI | 1386823367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTERO GONZALES Medical Physician 732-920-4666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA62026) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2007-11-13 |