| NPI | 1386182053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMON J SAMAHA Assistant Secretary 973-571-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MA05082700) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-05-01 |