| NPI | 1326383076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO M CAMILO Owner 201-233-3455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ MA07167400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ MA08000400) |
| 208000000X Pediatrics (Licence: NJ MA07649100) | |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |