| NPI | 1417243197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHASHAYAR SHAKIBA Director 201-301-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 25MA08288700) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-06-22 |