| NPI | 1467715243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN LALLY Director Of Billing And Revenue C 973-539-9580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: NJ 25MA06189900) |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site (Licence: NJ BH5459462) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2016-06-20 |