| NPI | 1427243443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M GOLDING-GRANADO Owner 732-380-6010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207QA0505X Family Medicine, Adult Medicine | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207X00000X Orthopaedic Surgery | |
| 208000000X Pediatrics | |
| 2084S0010X Psychiatry & Neurology, Sports Medicine | |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2023-05-02 |