| NPI | 1437242138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DREW LASALLE President 973-322-0133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 25MA05925200) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2013-03-20 |