| NPI | 1225540719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNEY CAI-LUO Owner 973-992-8189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ MA72322) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA72322) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2017-10-25 |