| NPI | 1326407727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARHAD DARUWALA PIC 973-513-9940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: NJ 24085) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |