| NPI | 1740321157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STAN DERVECH Administrator 609-383-3313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NJ NE6M6S) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |