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 |