| NPI | 1215179312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS RUBEN ORTEGA President 973-484-5401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NJ 25MA06060600) |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2009-04-03 |