| NPI | 1922351345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAKSHA R GUPTA Provider 201-488-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ MA55012) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2012-10-23 |