| NPI | 1932379906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA BLACK CARLESIMO Executive Director 732-493-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-03-06 |