| 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 |