| NPI | 1134318389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN KHAIRY Manager 201-686-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NJ 270800584701) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2007-10-23 |