| NPI | 1669635157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CHRISTOPHER MENDLER Owner / Sole Member 201-265-7747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2008-07-07 |