NPI | 1295571628 |
---|---|
Entity Type | Organization |
Authorized Contact | HAJAH JALLOH Nurse Practitioner 732-309-3251 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2024-07-04 |
Last Update Date | 2024-07-04 |