| NPI | 1881969889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY A JENNINGS Office Manager 973-379-1991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ MA042618) |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2012-05-04 |