| NPI | 1154698975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR J LEON-WONG Owner/Medical Director 973-476-2528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA05907400) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2011-11-22 |