| NPI | 1922147107 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | VIPUL PARIKH Physician 732-240-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: NJ MA068822) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |