| 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 |