NPI | 1417999772 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY SAVATSKY Delegated Official 201-587-1111 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: NJ 25MA04325000) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2010-11-15 |