| NPI | 1548714934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY VAYSBLAT Practice Administrator 732-851-7111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA08697900) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |