| NPI | 1245595313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M GOLDING-GRANADO Owner 732-264-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2013-01-17 |