| NPI | 1629116926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE AJJAN Delegated Official 201-907-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 25MB03215900) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2008-04-16 |