| NPI | 1275639387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAENNIER SANCHEZ Business Office Manager 201-567-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ PENDING) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2025-08-26 |