| NPI | 1669706941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS JACOBSON Owner/Partner 973-729-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA07459800) |
| Enumeration Date | 2009-09-20 |
| Last Update Date | 2009-09-20 |