| NPI | 1861644437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE AFFINITO Member 973-616-5805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NN04855100) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2008-10-15 |