| NPI | 1215275573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WILLIAM DITURO Physician 201-460-0302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NJ 25MA04281900) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2013-01-22 |