| NPI | 1619125580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC D POLIMENI Owner 201-928-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA05504100) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |