| NPI | 1720530397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA SCHULTHEISS Office Manager 732-768-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: NJ 38MC00302100) |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-10-31 |