| NPI | 1457356685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA M BENNINGTON Office Manager 732-643-4403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2008-01-23 |