| NPI | 1457663486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CLONINGER Administrator 732-271-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: NJ 26NJ00199900) |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2010-07-07 |