| NPI | 1386037141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSTAPHA KADDOUR Owner 201-945-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NJ 27OA00604800) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-17 |