| NPI | 1972728327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN ANTONIO SABIDO Doctor 201-866-8533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ 25MA07696900) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA07696900) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2012-10-31 |