| NPI | 1164229985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICKSON A BALDERA GARCES Primary Care Physician 201-993-1475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2025-07-16 |