| NPI | 1518115542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA DEORA Director 732-274-1274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA67505) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ MB068932) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2014-10-08 |