| NPI | 1801849708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA M JOHNSON Practice Manager 732-886-1007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2015-08-26 |