| NPI | 1407297658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY LACADEN PEGOLLO Nurse Practitioner 973-539-9791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 26NJ00444200) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-07-16 |