| NPI | 1205143799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MARIE PLUTA Manager 866-206-2866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB06985400) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2012-01-25 |