| NPI | 1164968582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J LEONARD Owner 201-447-3621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ 44SC044556400) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |