NPI | 1679766125 |
---|---|
Entity Type | Organization |
Authorized Contact | ZORAYDA OLAYA DELEON President 201-963-5500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: NJ MA073038) |
Enumeration Date | 2007-08-18 |
Last Update Date | 2015-01-13 |