| NPI | 1093014912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIT AGARWAL Physician 201-483-9188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NJ 25MA08292000) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2023-03-07 |