| NPI | 1215350269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS ALEBERTO TEJEDA President 973-365-1377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA08456900) |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2014-01-28 |