| NPI | 1609096890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANINE L VILLABON Billing Credentialing Manager 732-663-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2010-10-12 |