| NPI | 1851637821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY KUNS Biller 732-707-4311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 245842) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 233858) |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2015-02-09 |