| NPI | 1811045453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA E. CAMAL Owner/Physician 732-531-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ MA55487) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 25MA07197700) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-10-01 |