| NPI | 1306054820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BEZOZO CEO 908-925-7519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA02738300) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |