| NPI | 1386012169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARDY VALENTIN Medical Doctor 973-687-7832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA MD205405) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2016-03-22 |