| NPI | 1063907749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ZAVADENKO CEO 201-290-7957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00534000) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-26 |