| NPI | 1376871285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD TODD PARIS Owner 908-400-6949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA61025) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: NJ 25MA61025) |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NJ 25MA61025) | |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2009-12-04 |