| NPI | 1184990202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN VAUGHN Officer 973-251-1132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2023-03-22 |