| NPI | 1265661151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMEL A. BADR Owner 201-310-1007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 25MA08326600) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2009-07-13 |