| NPI | 1770862542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN AYRES Billing Manager 973-335-9909 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ MA42108) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NJ MA42108) |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NJ MA42108) | |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |