| NPI | 1063570448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER GUO President 848-459-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ Ma72743) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2012-04-18 |