| NPI | 1851316764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE ANN RONDEAU Sole Proprietor 973-743-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ 35S100390000) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |