NPI | 1750660122 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS TODD GIBBENS President/ CEO 732-539-8714 |
Organization Subpart ? | No |
Primary Taxonomy | 204R00000X Electrodiagnostic Medicine (Licence: NJ MA06225500) |
Enumeration Date | 2011-08-16 |
Last Update Date | 2011-08-17 |