| NPI | 1174717631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH FEILER Owner 201-342-2543 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NJ 22DI02333100) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2013-08-13 |