| NPI | 1942373592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA LAWRENCE Director Of Revenue Cycle 732-235-6070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology |
| 2085R0001X Radiology Radiation Oncology | |
| 261QP3300X Clinic/Center Pain | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-12-29 |