| NPI | 1588100267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZEV SEGAL Owner/Dds 973-845-9955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NJ 22DI01903100) |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-01-18 |