| NPI | 1598062796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLA KATSEVA Physician 732-238-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: NJ 25MA07544800) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: NJ 25 MA07544800) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2023-10-30 |