| NPI | 1336284744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ANTHONY PANZA Owner 908-233-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NJ MA04943400) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |