| NPI | 1427640440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SKOLNICK Owner 973-715-5963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080A0000X Pediatrics Adolescent Medicine |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2022-01-14 |