| NPI | 1821225137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR PRIVEN Medical Director 732-845-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NJ 25 MA07690600) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2012-10-23 |