| NPI | 1841313160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALA R SAMUEL Owner 973-345-2420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NJ ma67340) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |