| NPI | 1053634436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY LENTINE Owner/Physician 973-237-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ MB061655) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MB06165500) |
| 363A00000X Physician Assistant (Licence: NJ 25MP00145600) | |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2010-10-15 |