| NPI | 1457613309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE MORGAN Office Administrator 732-508-9390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 25MA08863000) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2023-07-12 |