| NPI | 1770908642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT V GIARDINA Owner 732-908-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00217100) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00244100) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NN05182000) | |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2014-07-22 |