| NPI | 1124216718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BRUCE WISE Managing Member 973-305-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 25M08257300) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |