| NPI | 1225234537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRO VIRGILIO PEREZ Owner 201-823-3998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NJ D3143) |
| Enumeration Date | 2007-06-23 |
| Last Update Date | 2020-08-22 |