| NPI | 1992727564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE CREIGHTON Office Manager 732-549-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2023-08-08 |