| NPI | 1396041562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A CHARLES Owner 201-858-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NJ 25MA03631900) |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2012-08-09 |