NPI | 1225204555 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXIS BARBARA SHERIDAN Office Administrator 973-994-3322 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: NJ 21943) |
Enumeration Date | 2008-05-06 |
Last Update Date | 2008-05-08 |