NPI | 1609163716 |
---|---|
Entity Type | Organization |
Authorized Contact | HECTOR JACOB LEON-WONG Owner/Medical Director 973-925-5400 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA05907400) |
Enumeration Date | 2011-07-09 |
Last Update Date | 2011-07-09 |