| NPI | 1437194180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS RUSSO Delegated Official 201-843-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 25MA06406200) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2012-11-15 |