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 |