| NPI | 1578650628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERI LYNN INGRASSIA-SQUIERS President 908-979-0050 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ MB72580) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2014-01-24 |