| NPI | 1447584685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD OLIVER COLEMAN President 201-433-7817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA03415800) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2009-09-21 |