| NPI | 1831614858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHY E KOTB Manager/Md 973-879-9106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 25MA09556600) |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2024-03-07 |