| NPI | 1306112164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELVIRA P. TOLENTINO Owner 862-377-4088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NJ 0400459279) |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care (Licence: NJ 0400459279) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-08-01 |