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 |