NPI | 1588930663 |
---|---|
Entity Type | Organization |
Authorized Contact | LENIS GONZALEZ M.D. 201-569-5151 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NJ 207N00000X) |
Enumeration Date | 2012-03-22 |
Last Update Date | 2012-03-22 |