| NPI | 1164596052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA ANNE COLOSIMO Clinical Team Leader 201-395-5419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NJ 44SC01312100) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |