| NPI | 1841589884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR J LEON-WONG President 201-222-6545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0000X Family Medicine, Adolescent Medicine (Licence: NJ 25MA05907400) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2011-03-30 |