NPI | 1386944635 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS CAMPIONE Owner 201-569-0500 |
Organization Subpart ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00816800) |
Enumeration Date | 2010-11-02 |
Last Update Date | 2018-04-13 |