| NPI | 1154583904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS SCUDERI Owner 732-264-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NJ MA02982800) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-28 |