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 |