| NPI | 1720212996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT DAVID GREENBERG Sole Proprietor/President 732-246-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: NJ 38MC00287500) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2009-05-04 |