| NPI | 1851675086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD C DE FABIO Owner 908-771-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NJ 38MC0282000) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |