| NPI | 1407188923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL CHRISTINE SKIPPER Medical Director 201-547-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ MA071041) |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2010-02-09 |