| NPI | 1902175953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD W TOLIVER President /CEO 973-676-6207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |