| NPI | 1447261896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO A. DE LA CRUZ President 732-397-0772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NJ 25MA03502300) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: NJ 25MA03502300) |
| 208000000X Pediatrics (Licence: NJ 25MA03502300) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |