| NPI | 1487192324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MINTZ Dir. Finance 732-423-7497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2020-07-13 |