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 |