| NPI | 1578508297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY KERSHNER Director/Owner 732-720-9548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB07312400) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2022-07-21 |