| NPI | 1518380153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT AKKERMAN Specialist 973-685-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: NJ 25MAO8170000) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2015-01-27 |