| NPI | 1134399447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN H FAUSTINO Doctor 609-335-3072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NJ MA07168000) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2011-06-27 |