| NPI | 1669872685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ALLEN STOCK Pediatric Urologist Medical Dr. 973-325-7188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2088P0231X (Licence: NJ MA054658) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |