| NPI | 1033483680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J SIDOTI President 973-773-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NJ 38MC00292200) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2012-02-29 |