| NPI | 1316207020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIONA MACK Administrative Medical Assistant 201-384-8310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: NJ 25MA06064200) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2012-05-29 |