| NPI | 1790116374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ACEVEDO Credentialing Specialist 973-928-3341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09182300) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2013-12-06 |