| NPI | 1962722595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY STEVEN HERRING President 201-888-0021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: NJ MA55527) |
| Enumeration Date | 2010-06-05 |
| Last Update Date | 2010-06-05 |