| NPI | 1851487284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MARIE CASSIDY Practice Administrator 732-767-3130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA07090900) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |