| NPI | 1063961076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON ZIMMER Billing Supervisor 609-345-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NJ 2000466) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |