| NPI | 1518169671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN NIGRO Office Manager 732-219-7140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB06680000) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-08-22 |