| NPI | 1417370883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY AHN Office Manager 732-321-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB06391200) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |