| NPI | 1376903211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YELENA POTYLITSINA Medical Director 732-862-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 25MA08017300) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-04 |