| NPI | 1578687729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN FERTIG Owner 732-562-0027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ MA58097) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2015-03-20 |