| NPI | 1942748983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MINTZ Dir. Finance 732-423-7497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 2080N0001X Pediatrics Neonatal-Perinatal Medicine | |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2020-07-13 |