| NPI | 1629253513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RISA JILL GORIN Sole Member 732-462-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 25MB07615100) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-09-15 |