| NPI | 1033513171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN COLLAZZI District Manager 201-333-4092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NJ 28RI03666400) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |