| NPI | 1659306769 |
|---|---|
| Other Name | LIMITED LIABILITY CORPORATION |
| Entity Type | Organization |
| Authorized Contact | JOHN A PINO Physician Owner 732-349-4030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2010-06-30 |