| NPI | 1669816054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISOL A. PENA Owner/Practitioner 732-486-8602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: NJ 49FW00019600) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |