| NPI | 1952705410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES HADDAD Owner 973-216-4953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA071971) |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine | |
| 363A00000X Physician Assistant | |
| 363LW0102X Nurse Practitioner Women's Health | |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2022-10-03 |