| NPI | 1396103289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINA A PANAH RN 609-345-1897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: NJ 26NR18143000) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |