| NPI | 1598148041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HORTENSIA KELLY Physician 973-877-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB08441500) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2016-01-21 |