| NPI | 1811107493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE B. REICHMAN Executive Director 973-972-9006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 26NN04408200) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |