| NPI | 1033477104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE HALLEGADO Medical Doctor 973-344-6727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ MA060257) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-05-18 |