| NPI | 1235328493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY STANLEY DELLO RUSSO Medical Director 201-384-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 225254) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2010-03-24 |