| NPI | 1326364589 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | YONG HO SHIN President 973-278-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ 25MA03183100) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261Q00000X Clinic/Center (Licence: NJ 25MA038183100) | |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2010-04-13 |