| NPI | 1023341872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA CALDERON Principal 201-598-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NJ 25MA07841700) |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2009-10-09 |