| NPI | 1689969396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIGETTE FULLARD Office Manager 973-243-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NJ 25MA03124000) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2011-06-10 |