| NPI | 1831215896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNA RETIRACION LOPEZ-MASLAK Owner 973-743-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NJ MA065388) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2012-04-02 |