| NPI | 1376799932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN C. GIBBS Medical Director 201-333-0094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: NJ MAO13695) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2008-08-14 |