| NPI | 1184176851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TESHOME TEGENE Program Director 201-590-5104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2016-10-28 |