| NPI | 1407123755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA M VARGHESE President 201-926-4908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: NJ 25MA06805500) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2012-01-26 |