| NPI | 1912426867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE A. SEIDENFELD Executive Director 973-783-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ 2000653) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2022-07-21 |