| NPI | 1609178276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GARY HUCK CFO 973-972-0882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: NJ 10702) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2024-03-28 |