| NPI | 1548370331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON BARTKOVICH Director 732-969-2240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MA038121) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ MA039357) |
| 213E00000X Podiatrist (Licence: NJ MA001728) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-10-08 |