| NPI | 1851641369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK KNIPE Network Operations Manager 973-451-8227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-12-17 |