| NPI | 1023364312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHRYN POCOROBA Owner 908-623-6138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: NJ 25MP00111000) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-07-30 |