NPI | 1144825910 |
---|---|
Other Name | CENTRAL JERSEY PRIMARY CARE, LLC |
Entity Type | Organization |
Authorized Contact | MARLEY PAGE Director 417-861-9739 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2020-12-01 |
Last Update Date | 2025-06-25 |