| NPI | 1821265349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY J PHILLIPS Senior Adminstrator/President 732-249-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NJ 25MA06584600) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-07-24 |