| NPI | 1518210236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LOGSDON Billing Manager 732-286-6006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NJ 25MA07416600) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-18 |