| NPI | 1720233083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEI LIN Owner 732-635-1577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 25MA07210800) |
| Enumeration Date | 2008-11-28 |
| Last Update Date | 2008-11-28 |