| NPI | 1730729211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA JENCO Managed Care Coordinator 973-656-2840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |