| NPI | 1851166425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUNA PAUL Managing Member 201-503-6334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2023-11-23 |
| Last Update Date | 2023-12-14 |