| NPI | 1306670997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT RODRIGUEZ CEO 201-505-4735 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2024-09-06 |