| NPI | 1699424150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN KONDAS Officer 973-251-1132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 207P00000X Emergency Medicine | |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2022-03-22 |