| NPI | 1235378175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUDMILA RIDLOVSKY President 732-851-4955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25 MA08292400) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2019-11-27 |