| NPI | 1922435395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS S BOTTIGLIERI Owner/Physician 201-569-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NJ 25 mb07982100) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2014-01-21 |