| NPI | 1508804493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE BISKUP Office Manager 732-739-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 25MA03149800) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA07712600) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2007-10-23 |