| NPI | 1629778063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYMA MIRZA Secretary 732-979-5365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 122300000X Dentist |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-03-07 |