| NPI | 1417467325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DELAGENTE Owner 973-270-6246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ PENDING) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |