| NPI | 1043507270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANNA J GONZALEZ MEJIA Owner 908-436-1002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 1428465) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2014-07-11 |