| NPI | 1902041783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANA PEEKE Billing Manager 201-522-3205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA06653300) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2009-01-05 |