| NPI | 1295979185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJIT JAYARAM Medical Director 201-369-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NJ MA37221) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |