| NPI | 1164730081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT BERK Physician/Owner 908-537-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ MA06947200) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2024-07-02 |