| NPI | 1326460981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAYA GRADY Credentialing Specialist 732-364-2144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |