| NPI | 1588733851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LLOYD Credentialing Coordinator 732-219-6501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ MA62353) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |