| NPI | 1396843777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN WU President 856-456-1881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB07468500) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: NJ 25MA298330) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-07-14 |