NPI | 1710192406 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANE LETTIERE Owner 201-650-6165 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NJ 40QA00296000) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2015-04-24 |