| NPI | 1720109952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DUCK ENGEL Operating Manager 732-888-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |