| NPI | 1225304736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGDY F MAHMOUD Manager 973-650-2009 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |