| NPI | 1285905273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH A DAVIS CEO 732-278-6038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00073800) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NJ 26NO09589000) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-01-23 |