| NPI | 1295467090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SWAHILI HENRY Director Of Payment Solutions 908-988-0482 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2024-09-11 |