| NPI | 1154511509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTINE SWANNICK-KONOPCZYNSKI President 908-812-0815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: NJ MA07293000) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2007-07-31 |