NPI | 1285860676 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA GAIL REICH SOBEL President 908-803-2633 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB05179300) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2009-05-31 |
Last Update Date | 2020-09-16 |