| NPI | 1700012804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED FARRUKH NIZAM Physician 732-494-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2016-10-26 |