| NPI | 1376780890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINSTON CARAOS UMALI President 201-209-9007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ 25MA06963700) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2009-01-21 |