| NPI | 1033532205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KIM Biller 201-446-6701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA085322100) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-24 |