| NPI | 1750834156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA M. SCUTTI CEO 973-818-0029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00103000) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00054800) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NN1087100) | |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |