| NPI | 1487896635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL A GACHETTE Owner 973-707-8243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA07976900) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2009-04-02 |