NPI | 1154454791 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY M PASTENA President 973-542-0384 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25mb06310300) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2012-08-28 |