| NPI | 1841052628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIA GLAAB Office Manager 973-627-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2024-01-26 |