| NPI | 1023445699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANG H. LEE Medical Doctor 973-558-2732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ 25MA05757200) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2013-09-27 |