| NPI | 1306969787 |
|---|---|
| Doing Business As | PARKSIDE MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | LARRY M BLAKE CEO 201-386-9264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 80305) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2023-11-27 |