| NPI | 1407133440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA PELORO Mohs Surgeon 732-995-2967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 201613-1) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2011-11-04 |