NPI | 1396854006 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDY S KLEIN Medical Director 908-782-7700 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA04454700) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2023-08-10 |