NPI | 1073538658 |
---|---|
Entity Type | Organization |
Authorized Contact | BERNIER LAUREDAN Medical Director 973-371-1600 |
Organization Subpart ? | Yes |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NJ 25ma05388700) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2013-03-22 |