| NPI | 1962774422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOLASADE A OSUNTUYI President 732-821-7618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NJ HP0158800) |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2012-01-30 |