| NPI | 1174840524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DYER President 973-714-7973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ00037400) |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2010-04-26 |