| NPI | 1609593722 |
|---|---|
| Former Legal Business Name | HACKENSACK UNIVERSITY MEDICAL GROUP, PC |
| Entity Type | Organization |
| Authorized Contact | DANIEL VARGA Director 732-807-0800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2024-03-27 |