| NPI | 1073560207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS FERNANDO JARAMILLO Medical Director 201-295-3033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA07560000) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-08-22 |