| NPI | 1629277520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA LAWRENCE Director Of Revenue Cycle 732-235-6070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics Pediatric Gastroenterology |
| Additional Taxonomies | 2080P0205X Pediatrics Pediatric Endocrinology |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2021-01-19 |