| NPI | 1770518698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNIER LAUREDAN Medical Director 973-371-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NJ 25ma05388700) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |