| NPI | 1124169727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMAL P CHARAIPOTRA President 732-396-0813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NJ 25MA04259400) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA05905800) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |