NPI | 1710271390 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL F. DURANTE Owner 973-886-7098 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: NJ 25MA05505400) |
Enumeration Date | 2011-06-01 |
Last Update Date | 2011-06-01 |