NPI | 1871917526 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDFORD F WHITE President 732-828-2600 |
Organization Subpart ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00108200) |
Enumeration Date | 2014-02-14 |
Last Update Date | 2014-02-14 |