| NPI | 1912753849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK MARULLO Manager 732-898-1270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 202K00000X |
| 207RS0012X Internal Medicine, Sleep Medicine | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2024-04-30 |