| NPI | 1891063921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA PERRY Office Manager 732-462-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NJ 25MA04241000) |
| Enumeration Date | 2011-12-04 |
| Last Update Date | 2011-12-04 |