| NPI | 1790817633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LON E GOLDBERG Medical Director 908-704-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB04654000) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MB04654000) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2011-05-19 |