| NPI | 1700028438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERA BENNETT Managing Partner 973-685-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NJ 25MA05857400) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2009-03-26 |