| NPI | 1639601024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAJ KHAN Manager 732-726-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |