| NPI | 1508272089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIQUE ROBINSON Registerednurse 201-398-6487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NJ 26NR12548900) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2014-07-07 |