| NPI | 1558563106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WEISBERG Administrator 908-282-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NJ 23100) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |