| NPI | 1578521225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARMAINE THOMAS Director 732-557-7160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 207V00000X Obstetrics & Gynecology | |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2008-04-22 |