| NPI | 1093736993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA M GUTIERREZ Physician 908-289-3494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA068014) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07176000) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-08-22 |