| NPI | 1609169952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE ELIZABETH GLEASON Owner 908-483-9931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 25MA079737000) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2011-05-19 |