| NPI | 1356377105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA P GOMES President 908-454-9902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ MB064321) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ MB065920) |
| 363L00000X Nurse Practitioner (Licence: NJ NN095449NJ) | |
| 207Q00000X Family Medicine (Licence: NJ 25MB077888000) | |
| 207Q00000X Family Medicine (Licence: NJ 25MA06829400) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2008-02-08 |