| NPI | 1588866156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SOLOMON Principal Officer 973-767-2640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA08206600) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2008-07-10 |