| NPI | 1972782704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO Y MABANTA Partner 856-988-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ MA59597) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2009-02-06 |