| NPI | 1316236664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LOVE Partner 908-670-6695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: NJ QA00884600) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-04-06 |