| NPI | 1306078431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA ORLOV President 973-942-0521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NJ MA044803) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2009-08-24 |