| NPI | 1063030294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMARIS M GROSSMANN Family Nurse Practitioner 732-501-8349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 261Q00000X | |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |