| NPI | 1922419654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN H. HAJJAR Owner 201-855-8302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2014-05-15 |