| NPI | 1972743763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA M. BENNINGTON Office Manager 732-455-3870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ MA58629) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2009-03-06 |