| NPI | 1962709444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BADAWY M. BADAWY Doctor 201-985-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NJ 06472400) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2011-02-18 |