| NPI | 1619920691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L SCOTT LARSEN President 732-888-7353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2007-10-17 |