| NPI | 1932647872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MINTZ Dir. Finance 732-423-7497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2021-07-29 |