| NPI | 1013465947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID G HARRIS Managing Administrator 973-925-1881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 38MC00508400) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |