| NPI | 1790772085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SWAPNIL R RADADIA R PIC 973-485-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: NJ 28RS00616300) |
| Enumeration Date | 2005-10-01 |
| Last Update Date | 2020-08-22 |