NPI | 1588824262 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN MEDITERRANEO Member 973-227-0169 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 25MA05503100) |
Enumeration Date | 2008-06-16 |
Last Update Date | 2008-06-16 |