| NPI | 1750683579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES GELLIDO Md 908-686-7881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ MA06993900) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2010-11-30 |