NPI | 1194167320 |
---|---|
Entity Type | Organization |
Authorized Contact | HUNG Y CHAE President 732-607-9090 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NJ 25MA04523900) |
Enumeration Date | 2013-07-30 |
Last Update Date | 2013-07-30 |