| NPI | 1962575167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TADEUSZ JANUSZ MAJCHRZAK President 201-963-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0000X Family Medicine, Adolescent Medicine (Licence: NJ MA5867500) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: NJ MA5867500) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2018-05-11 |