| NPI | 1639970734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MENACHEN SCHWARZ Director 732-719-5036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-03-24 |