| NPI | 1578852935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CASTILLA Owner 973-365-1377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NJ MA02465100) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2014-04-22 |