| NPI | 1346407715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ANTHONY MUSTILLO Owner And Medical Director 973-878-3990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: NJ MA053782) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: NJ MA053782) |
| 261QX0100X Clinic/Center, Occupational Medicine (Licence: NJ MA053782) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |