| NPI | 1811161557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA M PETILLO Doctor 973-533-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MB04450300) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2011-03-30 |