| NPI | 1164130068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LEPERA Medical Director/ CEO 973-418-4887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2022-11-09 |