| NPI | 1619315124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J DEFALCO Owner 201-262-2667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NJ 22DI01861300) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2013-06-06 |