| NPI | 1992154678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN GRAFFEO Nurse Practice 973-996-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NJ 25NJ00645500) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: NJ 26NR14879300) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-17 |