| NPI | 1861876419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHSAN JAN Administartor 201-289-8455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: NJ 25MA6506500) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-14 |