| NPI | 1457761892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DOBLIN President 201-396-9338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2016-07-14 |