| NPI | 1942384888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO CAMILO Md Owner President 973-249-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA06599400) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2012-02-09 |