| NPI | 1770896029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA L JOSE Manager 201-265-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 25MA02817000) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA06657800) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-07-15 |