| NPI | 1629171228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA M ZIMMERMAN Medical Director 908-757-1520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ 22984) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2010-03-01 |