| NPI | 1265314462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALWELL VP/Chief Revenue Officer 973-754-2136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2025-07-21 |