| NPI | 1457486268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE PENZYNSKI Credentialing Manager 732-212-0051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-04-20 |