| NPI | 1841595675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE AUTRY Office Administrator 732-308-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 069288) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2020-01-08 |