| NPI | 1306373436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN SHAKARJIAN Member/Manager 201-435-4558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA06102900) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA06102900) |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2022-07-21 |