| NPI | 1801225537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL DEMETRIO DSTTEFFANO President 973-489-0728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 18562) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |