| NPI | 1811319189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE KEEGAN Md 908-692-9833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 25MA08847600) |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2014-08-12 |