| NPI | 1518171149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN RICHARD Feild Nurse Supervisor 908-322-8883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NJ 26no07494600) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |