| NPI | 1386920429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN M ROSS Owner/ Provider 201-768-2433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NJ 3598) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2011-11-02 |