| NPI | 1952600504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A. OLIVER M.D. 973-538-0165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA03297900) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2011-03-22 |