NPI | 1497047831 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY STUART POLLACK President 609-625-9146 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ ma44557) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: NJ MA44557) |
Enumeration Date | 2011-05-04 |
Last Update Date | 2011-05-04 |