| NPI | 1013465269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM E CAMPBELL President/CEO 908-705-6822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NJ 37FI00176300) |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2016-09-16 |