| NPI | 1730475088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNIER LAUREDAN Physician 973-371-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NJ 25MA05388700) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2011-06-24 |