| NPI | 1154811859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL CHRISTINE SKIPPER Medical Director 609-838-0385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ MA071041) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-10-31 |