| NPI | 1154627511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER CAMBA TENGSON Physician 201-615-3284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ MA66349) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2011-02-02 |