| NPI | 1992900948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH L WALLACH Residency Program Director 732-923-6537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2020-08-22 |