| NPI | 1619018702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDE GERMAINE-MUNOZ Medical Director 973-921-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: NJ ma07612800) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2013-05-30 |