| NPI | 1457618415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMAN RAZA Medical Biller 732-826-0059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NJ 25MA03807500) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-04-16 |