| NPI | 1205160579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOAM KIM Owner 201-585-8285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NJ MZ00016800) |
| Enumeration Date | 2009-09-19 |
| Last Update Date | 2009-09-19 |