| NPI | 1336118041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINGA SOL PADILLA Physician 201-444-1733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA07800500) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2020-08-22 |