| NPI | 1245665710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUSTAVO GONZALES Msn, Np C, Cc RN 973-361-0750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00106400) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2023-03-07 |