| NPI | 1477571826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARJORIE MARIE CONDON Physician 201-689-1933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ MB54119) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |