| NPI | 1639174790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLO GALLELLO Administrator 732-544-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA04070200) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2010-07-06 |