| NPI | 1346783602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM NDUKA ONWUKA President 201-463-7943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NJ 25MA06631900) |
| Additional Taxonomies | 261QM2500X Clinic/Center Medical Specialty (Licence: NJ 2083741) |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2016-11-18 |