| NPI | 1861247769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROOZBEH RAJAEI Np 973-752-7464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-04-23 |