| NPI | 1942362587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CLARKE Director 732-807-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| 208600000X Surgery | |
| 207V00000X Obstetrics & Gynecology | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2025-09-02 |