| NPI | 1689632242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUANE J DYSON President 732-212-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2022-07-21 |