| NPI | 1134463409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINO J. CARNEVALE President 201-444-4412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 25MA02025300) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |