| NPI | 1760739775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANDA BRUNER President 732-946-7951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NJ MA57098) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2012-08-08 |