| NPI | 1447468475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ALLEN SHANTON Admin 201-262-8274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: NJ MA49009) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |