| NPI | 1700333655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES G HADDAD Owner 973-779-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09182300) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |