| NPI | 1801410154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW MCDONNELL, Authorized Official 732-221-9073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2024-05-01 |