| NPI | 1811053101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN N. FURST Executive Director 973-673-3342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NJ 07181-01-05) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2023-02-13 |