| NPI | 1164615126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD RAKLER Physician Assistant 908-994-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA07280100) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2010-10-08 |