| NPI | 1760666036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JAY SPEESLER President 732-764-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2023-12-16 |