NPI | 1750443248 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY EARL SHINDELMAN President 732-698-0606 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: NJ 25MA04238300) |
Enumeration Date | 2006-12-14 |
Last Update Date | 2020-08-22 |