| NPI | 1316205727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORRINE MICHELLE REIFF Resident 908-910-9328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |