| NPI | 1376914580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN M MCELROY CEO 201-962-9199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NJ 25mb08770900) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |