| NPI | 1144464553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILDRED BENOIT Office Manager 201-525-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA0768440) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25ma07684400) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2012-05-18 |