| NPI | 1811382096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL ILOGU President 732-247-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA06645800) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2017-02-15 |