| NPI | 1801989066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA R BENECKI President 732-458-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ 25MA03689200) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ 25MA02713800) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2011-06-15 |