| NPI | 1811388853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY P GOJDICS Billing Manager 732-240-4787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: NJ 25MA08860900) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |