| NPI | 1578336731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLA GORDINA Owner/Practioner 732-432-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2023-10-31 |