| NPI | 1861894982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY KNOWLES Director 732-565-5453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
| 231H00000X Audiologist | |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2025-05-28 |