| NPI | 1245463728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO JOSEPH MARELLI Director 973-703-1356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NJ 38mc00197800) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2009-08-31 |