| NPI | 1174609309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM ROSENZWEIG Medical Director 973-328-3475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ 22964) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2009-11-24 |