| NPI | 1578619508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE JAMES MILLENDICK Medical Director 732-906-0016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: NJ 25MA03420900) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |