| NPI | 1740571678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M. TAYLOR Owner 732-483-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 25MAO6218600) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2018-04-19 |