| NPI | 1144476771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ATIENZA Physician 732-988-3336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ MA079626) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: NJ Ma079626) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2009-03-19 |