| NPI | 1235359001 |
|---|---|
| Doing Business As | 96TH STREET URGENT CARE |
| Entity Type | Organization |
| Authorized Contact | TARA A VOGDES Owner 609-967-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ mb72117) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |