| NPI | 1124335047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA Y PAIGE Medical Director 973-669-2820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA056219) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2011-02-23 |