| NPI | 1225580830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS ROBIN MENTLE President 908-770-8671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ MA64455) |
| Enumeration Date | 2016-10-30 |
| Last Update Date | 2016-10-30 |