| NPI | 1366833352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATSUKO TAKESHIGE President 201-886-8818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MB09434100) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-06-22 |