| NPI | 1780085456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMALIA DE MIER Owner 201-994-7028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NJ 25MA03452100) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-09-19 |