| NPI | 1841600160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN BECKER Owner 201-836-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA07589900) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |