| NPI | 1770649212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES F MACALUSO Partner 973-790-8604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ MA26196) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: NJ MA27363) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |