| NPI | 1538691977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LEIBOWITZ Medical Director 732-860-5273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NJ 25MA08418100) |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: NJ 25MA08418100) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |