| NPI | 1104924455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY COLLINS Owner 732-287-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ ma32839) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-09-29 |