| NPI | 1851523674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE DOS SANTOS Co Owner 201-407-9421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA07427800) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2009-08-12 |