| NPI | 1831468263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL RENE SANCHEZ President 201-861-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: NJ MA71572) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2012-01-06 |