| NPI | 1205228566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT S DELA GENTE Member/Manager 201-337-3412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB07883400) |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-10-13 |