| NPI | 1780959643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MARIE VAUGHN Officer 973-251-1132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2023-03-29 |