NPI | 1063776664 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA COMPAGNONE Physician 908-380-0690 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NJ 25MA04932600) |
Enumeration Date | 2012-06-28 |
Last Update Date | 2012-06-28 |