| NPI | 1306290655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN A HALL Chief Medical Officer 201-857-5882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA09133000) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2016-04-22 |