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 |