NPI | 1497243232 |
---|---|
Entity Type | Organization |
Authorized Contact | ALLAN WEISSMAN Owner 973-420-0239 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: NJ 25MA06841300) |
Enumeration Date | 2018-04-26 |
Last Update Date | 2018-04-26 |