| NPI | 1376657312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY ANZALONE Physician/Member 973-778-7334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NJ MAO42475) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2022-07-21 |