| NPI | 1780634451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARRY ANN MICHLELIS President 201-996-2065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 25MA03935600) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2010-09-21 |