| NPI | 1659727550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAQUEL SMITH Office Manager 973-643-8383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NJ 25MA6818400) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |