| NPI | 1699813758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORSUVILLE GUIANG CABATU Pres / Owner 201-456-1267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 205-305) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2008-07-14 |