| NPI | 1891842621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BETH LUDWIG-CILENTO Owner 732-506-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ MB055640) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |