| NPI | 1295181584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROTH LEON RILEY Director 201-794-4500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25ma09551100) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |