| NPI | 1427128933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE SANTANA Delegated Official 201-854-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 25MA05225300) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |