| NPI | 1740216969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYANN JAQUELINE COLENDA Md/Owner 201-224-2256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NJ 25MA03161600) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-08-22 |