| NPI | 1396841508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET J. STANKEVICH Clinical Coordinator 973-579-3799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 207Y00000X Otolaryngology | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |