| NPI | 1639221161 |
|---|---|
| Doing Business As | NJFPG |
| Entity Type | Organization |
| Authorized Contact | DAVID A MITNICK Md 201-587-7850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NJ MA57877) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2008-07-15 |