| NPI | 1720368772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER KOLESSA Chief Medical Officer 732-425-3564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-08-23 |