| NPI | 1275949158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFEOMA IWELUMO Md 973-471-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 0400671095) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2014-07-11 |