| NPI | 1912078510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY FERNANDEZ-COS Delegated Official 201-816-9229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 25MA04426200) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2008-04-20 |