| NPI | 1881805711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE KOHLMANN Practice Administrator 201-646-0520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2010-07-06 |