NPI | 1811017361 |
---|---|
Entity Type | Organization |
Authorized Contact | JANE S LEE President 973-509-3888 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: NJ 25MA06099300) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2013-04-15 |