| NPI | 1275923799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDRAKANT PATEL Owner 973-928-2880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA03308400) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2016-11-14 |