| NPI | 1124167580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE DEVASSY PULLOCKARAN Chief Pharmacist 973-353-5201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: NJ 28RS00306800) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |