| NPI | 1912194168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN JEFFREY SCHOR V.P. 732-286-6644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 25MA02823000) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA03007400) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2007-10-02 |