| NPI | 1902804693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANN MENDUM Practice Manager 732-280-5464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NJ MB48253) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2008-01-09 |