| NPI | 1245623388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE CONSUNJI MARCON President 201-674-0737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ 40QA01074500) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NJ 40QA01074500) |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2015-03-13 |