| NPI | 1881665305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY GUERRERO Practice Administrator 973-759-7240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 0400087929) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2016-09-20 |