| NPI | 1023360476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES COVALESKY President 973-975-3084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MB08004700) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2012-10-10 |