| NPI | 1962683391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN A. KUBICHEK President 973-377-7822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology (Licence: NJ 25MA06067000) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2012-10-24 |