| NPI | 1841557246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MINTZ Director Of Finance 732-369-5967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2021-07-29 |