NPI | 1225384563 |
---|---|
Entity Type | Organization |
Authorized Contact | ARTHUR PAUL MIRIANA CEO 1609-703-6905 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208D00000X General Practice |
Enumeration Date | 2012-07-24 |
Last Update Date | 2012-07-24 |