| NPI | 1508362658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIAN ALT Medical Director 732-320-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 207K00000X Allergy & Immunology | |
| 207N00000X Dermatology | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-04-05 |