| NPI | 1003321183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALENA MARIE LYTWYN Nurse Practitioner 973-971-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 26NJ00756400) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2017-12-11 |