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 |