| NPI | 1407959570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMI BETH SCANLON Physician Owner 201-263-1477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MB07383700) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA06742400) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |