| NPI | 1932647997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK RALPH DI PASQUALE President 848-203-9185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: NJ 38MC00535600) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |