| NPI | 1538393210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MARTIN President 973-699-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NJ 38MC00495700) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2009-05-08 |