| NPI | 1639433410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER MAROTTA Owner 201-906-6247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NJ 25ma07980000) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2012-06-27 |