| NPI | 1336491976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGED BOUTROS President 1917-618-4446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: NJ 25ma08097300) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25ma08097300) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |