NPI | 1730423443 |
---|---|
Entity Type | Organization |
Authorized Contact | STACY HERRING Credentialing/Billing 732-492-7490 |
Organization Subpart ? | No |
Primary Taxonomy | 173F00000X Sleep Specialist, PhD (Licence: NJ 25MA06861200) |
Enumeration Date | 2012-11-19 |
Last Update Date | 2012-11-19 |