| NPI | 1871745711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY TOMASELLO Billing Mgr 609-581-5502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA06962600) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2008-10-22 |