NPI | 1851618912 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN K PARK President 856-935-7757 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: NJ 25MA02513800) |
Enumeration Date | 2010-04-29 |
Last Update Date | 2010-04-29 |