| NPI | 1154594042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS DEANGELIS Physician 973-740-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: NJ 25MA05372700) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2011-06-13 |