| NPI | 1043761208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADIA ALI Physician 732-497-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2021-12-14 |