| NPI | 1578612479 |
|---|---|
| Other Name | CLINIC |
| Entity Type | Organization |
| Authorized Contact | JACKIE KINNEY Director 973-353-8813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 170100000X Medical Genetics, Ph.D. Medical Genetics (Licence: NJ 25MA02378100) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |