| NPI | 1538353347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMELDA A. CARIN President 973-299-1168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 149173-1) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2023-03-07 |