| NPI | 1992487763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA WOOTEN Director Of Billing Services 973-623-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-08-02 |