| NPI | 1467813188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKHAIL ABDURAKHMANOV Occupational Therapist 973-856-2237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NJ 46tr00650600) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |