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 |