NPI | 1275728842 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTONIO CICCONE President 973-751-2060 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NJ MB057523) |
Enumeration Date | 2007-09-07 |
Last Update Date | 2010-03-12 |