| NPI | 1427325620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA LEU Medical Director 973-925-7077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 25MA07922600) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2021-01-15 |