| NPI | 1700938602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY BRUCE ZUCKERMAN Physician 732-821-0595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NJ MA60083) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NJ MA31872) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |