| NPI | 1528731163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA DIANE TRUJILLO Administrator 732-356-9950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 173F00000X Sleep Specialist, PhD |
| 207KA0200X Allergy & Immunology Allergy | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2021-07-29 |