| NPI | 1013130574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH A. FONZINO Director Of Health & Welfare 973-325-4124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |