| NPI | 1699197202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO PRESILLA Doctor 201-863-8667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NJ 25ma03546100) |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2014-01-16 |