| NPI | 1023303229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARITA GORMUS M.D. 973-464-7599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 25 MA08664800) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2011-06-15 |