| NPI | 1891913141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAPHAEL J OSHEROFF Medical Director 973-928-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NJ 25MA06156400) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NY 175535-1) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2023-03-07 |