NPI | 1467598177 |
---|---|
Entity Type | Organization |
Authorized Contact | APRIL MCCARTHY Practice Manager 973-371-8960 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: NJ 25MA03818900) |
Additional Taxonomies | 174400000X Specialist (Licence: NJ MA1029244) |
Enumeration Date | 2007-01-29 |
Last Update Date | 2007-09-14 |