| NPI | 1447670187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MILLER Billing Manager 732-317-8286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other (Licence: NJ 25MA04131700) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |