| NPI | 1902358526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA BERGER C.E.O. 732-719-9015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00679600) |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-10-31 |