| NPI | 1285152363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONA LISA HINDS Apn, Owner 908-636-3613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 26NJ00597900) |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service (Licence: NJ 26NJ00597900) |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2018-06-16 |