| NPI | 1477624088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY BARRAVECCHIO Delegated Official 973-942-6005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 25MB06978600) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2013-04-04 |