| NPI | 1366586794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASNA M KAZMOUZ Direct Owner 973-742-1824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NJ MA72031) |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2013-05-09 |