| NPI | 1316293996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODESSA E HOINKIS Co Owner 201-387-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB07894000) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA08487900) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-10-15 |