| NPI | 1457809402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE PETERS Officer/Manager 732-281-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: NJ 25MB06567300) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NJ 25MB05659300) |
| 207K00000X Allergy & Immunology (Licence: NJ 25MA03236800) | |
| 207K00000X Allergy & Immunology (Licence: NJ 25MA08847700) | |
| 207K00000X Allergy & Immunology (Licence: NJ 25MA0832810) | |
| 207Y00000X Otolaryngology (Licence: NJ 25MA07280500) | |
| 207Y00000X Otolaryngology (Licence: NJ 25MA09358600) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00161000) | |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |