| NPI | 1609227248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE BERNARD ESQUERRE Medical Director 973-412-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NJ 25MA03786800) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2016-06-24 |