| NPI | 1457796492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILE I RANGEL Medical Director 201-868-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NJ MA066179) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2013-05-03 |