| NPI | 1124186853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMASZ ADAM GRUCZYNSKI Owner 973-942-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ MA059789) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |