| NPI | 1063906121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMALESH SHAH Owner 201-803-3397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2022-02-17 |