NPI | 1265715775 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREA ISABELLE REZNIK President 908-725-4242 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: NJ 25MA04032600) |
Enumeration Date | 2011-09-21 |
Last Update Date | 2011-09-21 |