| NPI | 1902083793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GALINA M BEGUN Credentialing Manager 732-557-7119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 208000000X Pediatrics | |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-01-24 |