NPI | 1104666197 |
---|---|
Entity Type | Organization |
Authorized Contact | ERICKSON ANGEN BALDERA GARCES Primary Care Physician 201-993-1475 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2024-05-28 |
Last Update Date | 2024-05-28 |