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 Clinic/Center | |
Enumeration Date | 2020-07-14 |
Last Update Date | 2020-07-14 |