| NPI | 1811205024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS STACK Owner/Doctor 973-808-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ MB58292) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-09-22 |