| NPI | 1932722212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST OSEI-TUTU., MD President & CEO 732-947-9486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |