| NPI | 1891949855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN FAND Officer 732-494-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology |
| 2085R0203X Radiology, Therapeutic Radiology | |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2009-03-06 |