| NPI | 1689071722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA GOODRICH Biller 973-374-1080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NN09682500) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2016-03-23 |