| NPI | 1336561554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATIYA NADEEM Owner 732-658-1102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA08300900) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2014-01-24 |