| NPI | 1285880047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMARIS ALEJANDRA EGUINO CONDE Medicine Doctor 201-758-0290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA08433000) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2008-08-13 |