| NPI | 1316728892 |
|---|---|
| Doing Business As | SOLARA PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | EDWARD J LICITRA Chief Executive Officer / Chairman 732-390-7750 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2024-01-30 |