| NPI | 1629133491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L BERKOWITZ Medical Director 201-996-4849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 25MA05291700) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2013-03-06 |