| 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 |