| NPI | 1861601692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POLINA GRIZONT President 732-297-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NJ 3443) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |