| NPI | 1245005669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA ADIYIA Owner,Administrator 732-301-4465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2023-11-15 |