| NPI | 1164761953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURO L ROCHA Adult Nurse Practitioner 973-535-5279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NJ 26NJ00133200) |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-02-13 |