| NPI | 1518231208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAN LUPYAN Owner 732-257-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 63773) |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2012-02-28 |