| NPI | 1538605951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA KETCHAM Billing Manager 732-389-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 174477-1) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |