| NPI | 1578349122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGDY F MAHMOUD Director Of Credentialing 973-370-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2023-09-07 |