| NPI | 1417097965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSVALDO CORTINA Medical Director 201-865-9491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA07689300) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2022-04-19 |